MS. ELIZABETH BURTON MATUK FNP NPI 1538156351

NPI Information

NPI: 1538156351
Provider Name: MS. ELIZABETH BURTON MATUK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
330 S CHILOQUIN BLVD
CHILOQUIN, OR
ZIP 97624
Phone: (541) 783-3293
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MS. Elizabeth Burton Matuk, FNP is a family nurse practitioner in Chiloquin, OR. MS. Elizabeth Burton Matuk, FNP NPI is 1538156351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

330 S CHILOQUIN BLVD
CHILOQUIN, OR
ZIP 97624-747
Phone: (541) 783-3293
Fax: (541) 783-3273

The enumeration date for this NPI number is 10/6/2005 and was last updated on 3/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	094006651N1	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S60870	MEDICARE UPIN	OREGON
2	383855	MEDICARE ID-TYPE UNSPECIFIED
3	276266	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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